手污染的控制与医院感染的预防

Control Hands Pollution to Prevent Nosocomial Infection

目的探讨手污染状况与医院感染的关系,提出保持手卫生的措施。方法了解手污染、洗手的现状,洗手与医院感染的相关性和提高手卫生的措施。结果手污染是导致医院感染的主要途径,手污染的细菌是导致医院感染的主要菌群,洗手是保持手卫生的主要方法,能有效减少医院感染,但临床执行严格的手消毒现状并不满意;通过提高洗手的意识、提供洗手的条件、掌握正确洗手的时间和方法、选择适当的手消毒剂,能提高洗手的依从性,提高手消毒的效果。结论手污染同医院感染密切相关,有效提高手卫生状况,洗手能减少医院感染。

OBJECTIVE To explore the correlation between hands pollution and nosocomial infection, and to raise measures to keep hand hygiene. METHODS To evaluate the condition of hand pollution and hand washing, the relationship between hands pollution and nosocomial infection, and measures to improve hand hygiene. RESULTS Most nosocomial infections were transmitted by the hands pollution, bacteria of which were thought to be the main microbial population of nosocomial infection. Handwashing was considered to be the most important intervention to prevent nosocomial infections. However, the present studies indicated that there was not enough handwashing practice among the medical personnel, lacking the consciousness of the importance of hand cleaning, misunderstanding the standard hand cleaning steps, like the length of washing time and the choose of hand disinfectant, and inadequately providing the hospital condition for cleaning work, all these played an important role in declining the efficiency of hand disinfection in hospital. Medical workers could achieve their goal through the improving of the above aspects of work. CONCLUSIONS Hands pollution is closely related to nosocomial infection. Handwashing can reduce nosocomial infections.